Detection of Colistin Resistance in Salmonella enterica Using MALDIxin Test on the Routine MALDI Biotyper Sirius Mass
Laurent Dortet1,2,3,4, Rémy A Bonnin2,3,4, Simon Le Hello5
1MRC Centre for Molecular Bacteriology and Infection, Department of Life Sciences, Faculty of Natural Sciences, Imperial College London, London, United Kingdom.
Abstract:
Resistance to polymyxins in most Gram-negative bacteria arises from chemical modifications to the lipid A portion of their lipopolysaccharide (LPS) mediated by chromosomally encoded mutations or the recently discovered plasmid-encoded mcr genes that have further complicated the landscape of colistin resistance. Currently, minimal inhibitory concentration (MIC) determination by broth microdilution, the gold standard for the detection of polymyxin resistance, is time consuming (24 h) and challenging to perform in clinical and veterinary laboratories. Here we present the use of the MALDIxin to detect colistin resistant Salmonella enterica using the MALDxin test on the routine matrix-assisted laser desorption ionization (MALDI) Biotyper Sirius system.
Insights
Detecting colistin resistance in Gram-negative bacteria is crucial. The MALDIxin test offers a rapid method for identifying colistin-resistant Salmonella enterica, improving upon traditional time-consuming techniques.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Mass Spectrometry
Background:
- Polymyxin resistance in Gram-negative bacteria is primarily due to modifications in the lipopolysaccharide (LPS) lipid A component.
- Resistance mechanisms involve chromosomal mutations or plasmid-encoded mcr genes, increasing the complexity of colistin resistance.
- Conventional minimal inhibitory concentration (MIC) determination via broth microdilution is time-consuming (24 hours) and difficult for routine laboratories.
Purpose of the Study:
- To introduce and evaluate the MALDIxin test as a rapid method for detecting colistin resistance in Salmonella enterica.
- To assess the feasibility of using the MALDIxin test on a standard matrix-assisted laser desorption ionization (MALDI) Biotyper Sirius system.
Main Methods:
- Utilized the MALDIxin test for the detection of colistin resistance.
- Employed the matrix-assisted laser desorption ionization (MALDI) Biotyper Sirius system for analysis.
- Focused on Salmonella enterica as the target organism.
Main Results:
- Demonstrated the successful application of the MALDIxin test for identifying colistin-resistant Salmonella enterica.
- Showcased the MALDIxin test's compatibility with the routine MALDI Biotyper Sirius platform.
Conclusions:
- The MALDIxin test provides a rapid and effective alternative for detecting colistin resistance in Salmonella enterica.
- This method streamlines the identification process compared to traditional MIC determination, aiding clinical and veterinary diagnostics.


